Antiepileptic drugs can sometimes worsen idiopathic generalized epilepsies.
Relevant data are based on empirical experience of epileptologists and on
few published case-reports according to the suspected drug with serious met
hodological limitations. Some animal models of epileptic syndromes such as
genetic models of absence seizures in rat seem to be helpful for understand
ing the possible mechanisms underlying drug-induced syndrome aggravation. A
dequate epileptic syndrome diagnosis is needed before starting antiepilepti
c drug.